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Child and Adolescent Medical Providers, P.C.

Pediatrics Physician in Lavonia, GA · enumerated 2006 · authorized official David Martin, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215093430

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Registry record

Entity type Organization (Type 2)
Legal business name Child and Adolescent Medical Providers, P.C.
Practice address 13375 Jones St Ste C, Lavonia, GA, 30553
Phone (706) 356-5439
Fax (706) 356-5897
Enumeration date Dec 29, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 047486 (GA) Primary

Authorized official

Name David Martin
Title Ceo
Phone (706) 356-5439

Other identifiers

Identifier Type State Issuer
309143 Medicaid GA -
52768660 Other GA BCBS PIN#
85002622G Medicaid GA -
00860219C Medicaid GA -
10056443 Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Child and Adolescent Medical Providers, P.C.?
Child and Adolescent Medical Providers, P.C. is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.